Incident Score: Analysis & Impact (PEAFLOCRM1776443473)
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Rankiteo Score Impact Analysis
Key Highlights From The Incident Analysis
- Timeline of Florida Hospital Association's Ransomware and lateral movement inside company's environment.
- Overview of affected data sets, including SSNs and PHI, and why they materially increase incident severity.
- How Rankiteo’s incident engine converts technical details into a normalized incident score.
- How this cyber incident impacts Florida Hospital Association Rankiteo cyber scoring and cyber rating.
- Rankiteo’s MITRE ATT&CK correlation analysis for this incident, with associated confidence level.
Full Incident Analysis Transcript
In this Rankiteo incident briefing, we review the Florida Hospital Association breach identified under incident ID PEAFLOCRM1776443473.
The analysis begins with a detailed overview of Florida Hospital Association's information like the linkedin page: https://www.linkedin.com/company/florida-hospital-association, the number of followers: 9548, the industry type: Hospitals and Health Care and the number of employees: 134 employees
After the initial compromise, the video explains how Rankiteo's incident engine converts technical details into a normalized incident score. The incident score before the incident was 761 and after the incident was 617 with a difference of -144 which is could be a good indicator of the severity and impact of the incident.
In the next step of the video, we will analyze in more details the incident and the impact it had on Florida Hospital Association and their customers.
On 14 April 2026, Cookeville Regional Medical Center (CRMC) disclosed Ransomware issues under the banner "Cookeville Regional Medical Center Hit by Rhysida Ransomware Attack".
Cookeville Regional Medical Center (CRMC), a 309-bed hospital serving 14 counties in Tennessee’s Upper Cumberland region, has notified 337,917 patients that their personal and medical data was compromised in a July 2025 ransomware attack.
The disruption is felt across the environment, and exposing 337,917 records, with nearly 337,917 records at risk.
In response, and began remediation that includes Additional security measures implemented, and stakeholders are being briefed through Breach notification letters mailed on April 14, 2026.
The case underscores how Completed (forensic analysis), teams are taking away lessons such as Delayed or vague breach notifications can increase risks of identity theft and phishing for affected individuals. The extended investigation timeline reflects the complexity of forensic analysis following hospital ransomware attacks, with advisories going out to stakeholders covering 12 months of free identity theft protection through Experian offered to affected individuals.
Finally, we try to match the incident with the MITRE ATT&CK framework to see if there is any correlation between the incident and the MITRE ATT&CK framework.
The MITRE ATT&CK framework is a knowledge base of techniques and sub-techniques that are used to describe the tactics and procedures of cyber adversaries. It is a powerful tool for understanding the threat landscape and for developing effective defense strategies.
MITRE ATT&CK® Correlation Analysis
Rankiteo's analysis has identified several MITRE ATT&CK tactics and techniques associated with this incident, each with varying levels of confidence based on available evidence. Under the Initial Access tactic, the analysis identified Exploit Public-Facing Application (T1190) with moderate confidence (50%), supported by evidence indicating attack occurred between July 11 and July 14, 2025 and Valid Accounts (T1078) with moderate confidence (60%), supported by evidence indicating rhysida ransomware-as-a-service group attributed to attack. Under the Execution tactic, the analysis identified User Execution: Malicious File (T1204.002) with moderate to high confidence (70%), supported by evidence indicating rhysida ransomware-as-a-service group responsible for attack. Under the Credential Access tactic, the analysis identified Credentials from Password Stores (T1555) with moderate confidence (60%), supported by evidence indicating social Security numbers, driver’s license numbers compromised. Under the Discovery tactic, the analysis identified Account Discovery (T1087) with moderate to high confidence (70%), supported by evidence indicating 337,917 patient records compromised including PII. Under the Collection tactic, the analysis identified Data from Local System (T1005) with moderate to high confidence (80%), supported by evidence indicating names, addresses, dates of birth, SSNs, medical data compromised. Under the Impact tactic, the analysis identified Data Encrypted for Impact (T1486) with high confidence (90%), supported by evidence indicating data encryption confirmed (ransomware attack). Under the Exfiltration tactic, the analysis identified Exfiltration Over C2 Channel (T1041) with moderate to high confidence (80%), supported by evidence indicating sample files published on dark web leak site. Under the Command and Control tactic, the analysis identified Application Layer Protocol (T1071) with moderate to high confidence (70%), supported by evidence indicating rhysida ransomware group demanded 10 Bitcoin ransom. Under the Defense Evasion tactic, the analysis identified Obfuscated Files or Information (T1027) with moderate to high confidence (70%), supported by evidence indicating ransomware attack attributed to Rhysida group. These correlations help security teams understand the attack chain and develop appropriate defensive measures based on the observed tactics and techniques.
Sources & References
- Florida Hospital Association Rankiteo Cyber Incident Details: https://www.rankiteo.com/company/florida-hospital-association/incident/PEAFLOCRM1776443473
- Florida Hospital Association CyberSecurity Rating page: https://www.rankiteo.com/company/florida-hospital-association
- Florida Hospital Association Rankiteo Cyber Incident Blog Article: https://blog.rankiteo.com/peaflocrm1776443473-cookeville-regional-medical-center-florida-lung-asthma-sleep-specialists-heart-south-cardiovascular-group-ransomware-april-2026/
- Florida Hospital Association CyberSecurity Score History: https://www.rankiteo.com/company/florida-hospital-association/history
- Florida Hospital Association CyberSecurity Incident Source: https://www.infosecurity-magazine.com/news/cookeville-medical-center-data/
- Rankiteo A.I CyberSecurity Rating methodology: https://www.rankiteo.com/Images/rankiteo_algo.pdf
- Rankiteo TPRM Scoring methodology: https://static.rankiteo.com/model/rankiteo_tprm_methodology.pdf